Individual provider Active NPI

David Saul Glosser, SC.D.

  • Specialist
  • Allentown, PA
National Provider Identifier
1881695963
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PS005261L Issued in PA
Practice address
5000 W Tilghman St
Commerce Corporate Center Ste 125
Allentown, PA 18104-9109
Phone
(610) 821-9740
Fax
(610) 395-0019
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PS005261L PA Primary

Addresses

Primary practice location

5000 W Tilghman St
Commerce Corporate Center Ste 125
Allentown, PA 18104-9109

Mailing address

5000 W Tilghman St
Commerce Corporate Center Ste 125
Allentown, PA 18104-9109
Phone (610) 821-9740

Other identifiers 1

IdentifierTypeStateIssuer
01715501OtherPACAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1881695963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W TILGHMAN ST",
            "address_2": "COMMERCE CORPORATE CENTER STE 125",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049109",
            "telephone_number": "610-821-9740",
            "fax_number": "610-395-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W TILGHMAN ST",
            "address_2": "COMMERCE CORPORATE CENTER STE 125",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049109",
            "telephone_number": "610-821-9740",
            "fax_number": "610-395-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOSSER",
        "first_name": "DAVID",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "SC.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PS005261L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01715501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.